| NPI | 1790800860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP1149) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA0020616) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |